Bothata bo senyeha empa bo ntse bo tloaelehile bathong ba nang le HIV
Bothata ba ho sithabela ha AIDS (ADC), e tsejoang hape ka hore ke HIV e fokolang maikutlo, ke lefu la kelello le bakoang ke HIV . Ke boemo bo khetholloang ke Li-Centers for Disease Control and Prevention (CDC) e le boemo bo hlalosang AIDS mme bo khetholloa ke ho senyeha ha ts'ebetso ea mohopolo, motlakase le boitšoaro, matšoao a eona a ka kenyelletsang:
- mathata le ho tsepamisa mohopolo
- fokolloa maikutlong le / kapa karabelo ea kelello
- liphetoho tse khethiloeng tsa boitšoaro
- fokolitse matla / bofokoli
- ho lahleheloa ke tsebo e ntle ea motlakase (mohlala, ho thothomela, ho tsieleha)
- tahlehelo e tsoelang pele ea ho tsamaea
- 'dementia'
Dementia e hlalosoa e le ho ferekanya ho tsoelang pele ha mekhoa ea kelello e bontšitsoeng ke liphetoho tsa botho, mathata a ho hopola, le ho ba le mabaka a fosahetseng.
Lisosa tsa AIDS Dementia
ADC hangata e hlaha maloetse a tsoetseng pele ha lenane la CD4 ea mokuli le ka tlaase ho lisele tse 200 / μl 'me ka kakaretso le tsamaea le tekanyo e matla ea kokoana-hloko.
Ho fapana le maemo a mangata a hlalosang AIDS, ADC hase tšoaetso ea monyetla ho latela boemo bo bakoang ke HIV ka boeena. Lipatlisiso li bontša hore lisele tse tšoeu tsa tšoaetso ea HIV li bitsoa macrophages le lisele tsa methapo tse bitsoang microglia secrete tsa nerurotoxin tse senyang likokoana-hloko tse ntseng li hōla le tse hōlileng tsebong. Ha nako e ntse e ea, sena se ka fella ka ho senyeha ha synaptic (e leng ho fetisetsa tlhahisoleseling ea li-neurons), hammoho le ho fokotsa ka tsela e sa hlakang seleng lefu la li-neurons.
Ho lemoha le ho tšoara AIDS Dementia
Ha ho na tlhahlobo e le 'ngoe e ka tiisang hore na lefu lena le na le tšoaetso ea HIV joang. Tlhahlobo e entsoe haholo-holo ka ho qheleloa, ho busa ka mabaka a mang a ka 'nang a bakoa ke ho se sebetse. Tlhahlobo e feletseng e tlameha ho etsoa ke ngaka e nang le phihlelo, ho hlahloba histori ea mokuli, liteko tsa laboratoire (mohlala, ho koala litlhaku ), boko ba bokooa (MRI, CT scan) , le ho hlahloba se bitsoang "litšobotsi tsa sethaleng."
Mekhoa ea litekanyetso e etsa hore ho be le matla a ho holofala ka tekanyo ea 0 ho isa ho 4, ka tsela e latelang:
- Mothati oa 0: Mosebetsi o tloaelehileng le oa kelello.
- Mothati oa 0.5: Ho se sebetse ho fokolang ka mokhoa o tloaelehileng oa matla le matla. Motho o khona ho sebetsa le ho etsa mesebetsi ea kamehla ea letsatsi le letsatsi.
- Mothati oa 1: Mathata a sebetsang a motlakase le / kapa tsebo ea kelello. Motho a ntse a ka tsamaea a se na thuso mme a tsoela pele ho sebetsa empa e le mesebetsi e boima ka ho fetisisa ea letsatsi le leng le le leng.
- Mothati oa 2: Ha o sebetse mme o na le mathata a ho sebetsana le maemo a thata haholo bophelong ba letsatsi le leng le le leng. Leha ho le joalo, motho o ntse a khona ho itlhokomela le ho khona ho tsamaea (le hoja ka linako tse ling ka thuso ea sehlabelo se le seng).
- Mothati oa 3: Boholo ba kelello le / kapa boima ba motlakase. Motho ha a khone ho itlhokomela.
- Mothati oa 4: Haufi le naha ea limela.
Le hoja lipontšo tse matla haholo tsa ADC li fokotsehile haholo ho tloha ha ho e -ba le phekolo ea meriana e thibelang likokoana-hloko (ART) , ho ba le tšenyo e nepahetseng ea kelello ho ntse ho bonoa likarolong tse ka bang 30 tsa ba nang le HIV le karolo ea 50 lekholong ea ba nang le AIDS.
Ka kakaretso, kotsi ea ADC e bonahala e phahame ho batho ba sa kang ba finyella khatello ea kokoana-hloko, le hoja e ka tsoela pele ho karolo ea boraro ho isa ho 10 ea ba nang le kokoana-hloko e laolehileng.
Ho khothalletsoa hore mehato ea pele ea ART e liehe kapa e fokotsa kotsi ea ADC.
Bakeng sa ba nang le ts'oaetso e bakoang ke ts'oaetso ea mali, ART e ne e tla kenyelletsa lithethefatsi tse peli tse kenang ka mokhoa o ananehang oa thibelo ea mali. Lintho tse kenyeletsang li kenyelletsa nucleoside reverse transcriptase inhibitor-sehlopha sa lithethefatsi Retrovir (AZT) le Ziagen (abacavir), hammoho le protease inhibitor-class drug Crixivan (indinavir).
E boetse e tsejoa e le:
- Ho se tsotellehe HIV
- Lefu le amanang le tšoaetso ea HIV (HAND)
- Ho tepella maikutlo ho amanang le HIV (HAD)
> Mehloli:
> Heaton, K .; Etsa, I .; Butters; et al. "HNRC 500-Neuropsychology ea tšoaetso ea HIV maemong a fapaneng a lefu." Journal of International International Neuropsychological Society. Ka May 1995: 1 (3), 231-251.
> Etsa, I .; Sacktor, N .; McArthur, J .; et al. "Lefu la motho la ho itšireletsa mafung-le amanang le mathata a ho ba le tšoaetso ea kelello: Nahana ka lekhalo." Annals ea Neurology. June 2010; 67 (6): 699-714.
> Robertson, K .; Smurzynski, M .; Parsons, T .; et al. "Ho ata le ho ba le tšenyo ea kelello linthong tsa HAART." AIDS. La 12 September, 2007; 21 (14): 1915-1921.
> Tozzi, V .; Balestra, P .; Bellagamba, R .; et al. "Ho phehella ho haelloa ke methapo ea kelello ho sa tsotellehe phekolo ea Antiretroviral ea nako e telele e sebetsang ka thata haholo Meriana ea bakuli ba nang le tšoaetso ea kelello ea HIV e amanang le tšoaetso ea HIV. Leqephe la Tšireletso ea ho itšireletsa mafung e amohelehang ea Syndromes. La 1 June, 2007; 45 (2): 174-182.
> Eden, A .; Theko, R; Hagberg, L .; et al. "Ho baleha ho tloaelehile ho bakuli ba nang le tšoaetso ea HIV ka ART e tsitsitseng." Seboka sa bo17 sa li-Retroviruses le mafu a mangata. San Francisco, California; 2010.